<?php require_once "inc.php" ?>
<!DOCTYPE HTML PUBLIC  "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"><head>


<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">

<!-- page title -->
<title>Saviance</title>




<link rel="stylesheet" href="images/jquery.tabs.css" type="text/css">
</head><body>
<div id="wrapper">
<!-- header start -->
	<?php require_once "header.inc.php"?>
	
	
    <!-- header end -->
   <!-- content start -->
   
   <div id="body-wrapper">
     <!-- BREADCRUMB NAVIGATION -->
      
     <div id="body" class="clear">
       <div class="clear">
       
   <?php require_once "prospective-students-left.inc.php"?>
  <div style="float:left; margin-left: 20px; width: 645px" >
<table cellspacing="0" cellpadding="0" border="0" width="100%">
	<tbody><tr>
		<td valign="top" colspan="2">
		
		</td>
	</tr>

	<tr>
		<td align="center" valign="top">&nbsp;</td>
		<td></td>
	</tr>

	<tr>
		<td colspan="2">
		<div id="container-11">
		<ul class="tabs-nav">
			<li class="fragment-28"><a href="Apply_Online"><span> Apply Online</span></a></li>
			<li class="fragment-29"><a href="qualification_detail"><span> Qualification
			Details</span></a></li>
			<li class="fragment-30 tabs-selected"><a href="#"><span>Test Details</span></a></li>
			<li class="fragment-31"><a href="course_choice"><span> Course Choices</span></a></li>
			<li class="fragment-32"><a href="payment_detail"><span> Payment
			Details</span></a></li>
			<li style="display: none;" class=""><a href="#fragment-33"></a></li>
		</ul>

<div id="fragment-28" class="tabs-container tabs-hide" style="">
	<div class="personalDetailsForm">
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Personal Information</td>
			</tr>
			<tr>
				<td>
				<table height="180" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="13" colspan="5"></td>
					</tr>
					<tr>
						<td colspan="5">
						<div style="padding: 8px 28px; background: rgb(232, 243, 249) none repeat scroll 0% 0%; height: 74px; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous;">
						<table cellspacing="3" cellpadding="3" border="0">
							<tbody><tr>
								<td colspan="3">
								<table cellspacing="0" cellpadding="0" border="0">
									<tbody><tr>
										<td><span class="applicantname">Name of the
										applicant</span><span class="mandatory">*</span></td>
										<td><span class="information">(As in Qualifying
										Examination)</span></td>
									</tr>
								</tbody></table>
								</td>
							</tr>
							<tr>
								<td><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtAppFirstName" maxlength="40" size="35" class="text_field_name" name="txtAppFirstName"><span class="information">(First Name)</span></td>
								<td><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtAppMiddleName" maxlength="40" size="20" class="text_field_name" name="txtAppMiddleName"><span class="information">(Middle Name)</span></td>
								<td><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtAppLastName" maxlength="40" size="20" class="text_field_name" name="txtAppLastName"><span class="information">(Enter the last name or put the DOT (.) in the box)</span></td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr>
						<td height="15" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="20%">Date of Birth<span class="mandatory">*</span></td>
						<td width="32%"><a href="#nogo"> <input type="text" readonly="true" id="appDob" class="text_field" name="appDob">
						<img hspace="2" align="absmiddle" onclick="showdatetimepicker('appDob')" id="dobImg" src="images/onlineAppForm/calendar.gif"> </a>
						</td>
						<td width="1%" valign="top" rowspan="1">
						<img height="40" width="1" src="images/onlineAppForm/seperator.gif">
						<br>
						<img height="20" width="1" src="images/onlineAppForm/seperator.gif">
						</td>
						<td align="right" width="15%">Gender<span class="mandatory">*</span></td>
						<td align="left">
							<input type="radio" onclick="fnCheckRadio(this,'txtAppSex')" value="Male" id="txtAppSex_R" name="txtAppSex_R"><strong>Male</strong>
							<input type="radio" onclick="fnCheckRadio(this,'txtAppSex')" value="Female" id="txtAppSex_R" name="txtAppSex_R"><strong>Female</strong></td>
					</tr>
			    </tbody></table>
			    </td>
		    </tr>
		</tbody></table>
		</div>
		<br>
<table cellspacing="0" cellpadding="0" border="0" width="100%">
   <tbody><tr>
    <td class="sectionheading">Contact Details</td>
   </tr>
    <tr>
     <td><table height="293" cellspacing="0" cellpadding="5" border="0" width="100%">
      <tbody><tr>
       <td height="30" align="right" colspan="5">&nbsp;</td>
       </tr>
      <tr>
       <td height="30" align="right" width="20%">Father's Name<span class="mandatory">*</span></td>
       <td width="32%"><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtParentName" maxlength="40" size="30" class="text_field_name required" name="txtParentName"><span class="information">(Maximum 40 Characters)</span></td>
       <td width="1%" valign="top" rowspan="10"><img height="94" width="1" src="images/onlineAppForm/seperator.gif"><br><img height="94" width="1" src="images/onlineAppForm/seperator.gif"><br><img height="94" width="1" src="images/onlineAppForm/seperator.gif"></td>
       <td align="right">Mother's Name<span class="mandatory">*</span></td>
	   <td><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtMotherName" maxlength="40" size="30" class="text_field_name required" name="txtMotherName"><span class="information">(Maximum 40 Characters)</span></td>
	   </tr>
      
      <tr>
       <td height="30" align="right" width="20%" valign="top">Father's Occupation</td>
       <td width="32%"><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtFatherOccupation" maxlength="20" size="30" class="text_field_name required" name="txtFatherOccupation"></td>
       <td align="right">Mother's Occupation</td>
	   <td><input type="text" onkeypress="return onlyAlpha_forName(this,event);" id="txtMotherOccupation" maxlength="20" size="30" class="text_field_name required" name="txtMotherOccupation"> </td>
	  </tr>
      
       <tr>
       <td height="30" align="right" valign="top">Telephone No.<span class="mandatory">*</span></td>
       <td><input type="text" onkeypress="return isNumber(this,event);" id="txtContactNoAreaCode" maxlength="3" size="3" class="text_field required" name="txtContactNoAreaCode"> 
			<input type="text" onkeypress="return isNumber(this,event);" id="txtContactNoSTDCode" maxlength="8" size="4" class="text_field required" name="txtContactNoSTDCode"> 
			<input type="text" onkeypress="return isNumber(this,event);" id="txtContactNo" maxlength="10" size="10" class="text_field required" name="txtContactNo">
		</td>
       
       <td align="right" width="15%">Mobile No.<span class="mandatory">*</span></td>
	   <td width="32%">
			<input type="text" onkeypress="return isNumber(this,event);" id="txtMobileAreaCode" maxlength="3" size="3" class="text_field required" name="txtMobileAreaCode">
			<input type="text" onkeypress="return isNumber(this,event);" id="txtMobileNo" maxlength="10" size="20" class="text_field required" name="txtMobileNo"></td>
      </tr>
      
      
       <tr>
       <td align="right" valign="top">Address Line 1<span class="mandatory">*</span></td>
       <td><input type="text" onkeypress="return onlyAlphaNumWithSChar(this,event);" id="txtAddress1" maxlength="50" size="30" class="text_field required" name="txtAddress1">        </td>
       <td align="right" width="15%">Email<span class="mandatory">*</span></td>
	   <td width="32%"><input type="text" onkeypress="return onlyEmail(this,event);" id="txtEmail" maxlength="50" size="30" class="text_field required" name="txtEmail">
	   </td>
      </tr>
      
      
     <tr>
       <td align="right">Address Line 2<span class="mandatory">*</span></td>
       <td><input type="text" onkeypress="return onlyAlphaNumWithSChar(this,event);" id="txtAddress2" maxlength="50" size="30" class="text_field required" name="txtAddress2"></td>
       <td align="right">Confirm Email<span class="mandatory">*</span> </td>
       <td><input type="text" onkeypress="return onlyEmail(this,event);" id="txtConfirmEmail" maxlength="50" size="30" class="text_field required" name="txtConfirmEmail"></td>
      </tr> 
      
      <tr>
       <td align="right">Address Line 3</td>
       <td><input type="text" onkeypress="return onlyAlphaNumWithSChar(this,event);" id="txtAddress3" maxlength="50" size="30" class="text_field required" name="txtAddress3"></td>
       <td align="right">Alternate Email</td>
       <td><input type="text" onkeypress="return onlyEmail(this,event);" id="txtAltEmail" maxlength="50" size="30" class="text_field required" name="txtAltEmail"></td>
      </tr>
      
      
      
      
      
    <!--   
      
      <tr>
       <td height="30" align="right" valign="top">Address Line 1<span class="mandatory">*</span></td>
       <td><input type="text"  name="txtAddress1" class="text_field required" size="30" maxlength="50" id="txtAddress1"  onkeypress="return onlyAlphaNumWithSChar(this,event);"/>        </td>
       <td width="15%" align="right">Mobile No.<span class="mandatory">*</span></td>
	   <td width="32%">
			<input type="text" name="txtMobileAreaCode"	class="text_field required" size="3" maxlength="3" 
				   id="txtMobileAreaCode" onkeypress="return isNumber(this,event);" />
			<input type="text" name="txtMobileNo" class="text_field required" size="20" maxlength="10" id="txtMobileNo"
					onkeypress="return isNumber(this,event);" /></td>
      </tr>
      <tr>
       <td height="40" align="right">Address Line 2<span class="mandatory">*</span></td>
       <td><input type="text"  name="txtAddress2" class="text_field required" size="30" maxlength="50" id="txtAddress2"  onkeypress="return onlyAlphaNumWithSChar(this,event);"/></td>
       <td align="right">Email<span class="mandatory">*</span> </td>
       <td><input type="text"  name="txtEmail" class="text_field required" size="30" maxlength="50" id="txtEmail" onkeypress="return onlyEmail(this,event);"/></td>
      </tr>
      <tr>
       <td align="right">Address Line 3</td>
       <td><input type="text"  name="txtAddress3" class="text_field required" size="30" maxlength="50" id="txtAddress3"  onkeypress="return onlyAlphaNumWithSChar(this,event);"/></td>
       <td align="right">Confirm Email<span class="mandatory">*</span></td>
       <td><input type="text"  name="txtConfirmEmail" class="text_field required" size="30" maxlength="50" id="txtConfirmEmail" onkeypress="return onlyEmail(this,event);"/></td>
      </tr>
      
    -->   
      
       <tr>
       <td align="right">Country<span class="mandatory">*</span></td>
       <td>
		<div id="other_txtCountry_div">
			<select onchange="javascript:fnGetDependentData('app_statecode_master',this.value,'entity_id@state_name','country_id','State,District','State,District');javascript:getCountryCode_India(this.value,'Applicant');" style="width: 180px;" name="txtCountry" id="txtCountry" class="Country_field">
				<option selected="selected" value="0">---Select---</option>
			<option value="23">Afghanistan</option><option value="1">Algeria</option><option value="2">Argentina</option><option value="3">Australia</option><option value="4">Austria</option><option value="5">Bangladesh</option><option value="6">Belgia</option><option value="7">Brazil</option><option value="8">British</option><option value="9">Bulgaria</option><option value="10">Cambodia</option><option value="11">Canada</option><option value="12">China</option><option value="13">Colombia</option><option value="14">Dutch</option><option value="15">Egypt</option><option value="16">Ethiop</option><option value="17">Fiji</option><option value="18">France</option><option value="19">Georgia</option><option value="20">German</option><option value="21">Greek</option><option value="22">Hungari</option><option value="25">India</option><option value="24">Indonesia</option><option value="26">Iraq</option><option value="27">Irish</option><option value="28">Israel</option><option value="29">Japan</option><option value="30">Jordan</option><option value="31">Kenya</option><option value="32">Korea</option><option value="33">Kuwait</option><option value="34">Libya</option><option value="35">Malaysia</option><option value="36">Mauriti</option><option value="37">Mexica</option><option value="38">Mongolia</option><option value="39">Nepal</option><option value="40">New Zealand</option><option value="41">Nigeria</option><option value="42">Pakistan</option><option value="43">Palestini</option><option value="44">Portugues</option><option value="45">Rom</option><option value="46">Russia</option><option value="47">Siberia</option><option value="48">Singapore</option><option value="49">South Africa</option><option value="50">Spane</option><option value="51">Sri Lanka</option><option value="52">Sudan</option><option value="53">Swedish</option><option value="54">Swiss</option><option value="55">Taiwan</option><option value="56">Turk</option><option value="57">Ugand</option><option value="58">Ukraini</option><option value="60">Uruguayan</option><option value="64">USA</option><option value="59">Uzbekistan</option><option value="61">Vietnam</option><option value="62">Zimbabwe</option><option value="63">Other</option></select>
		</div>
						</td>
	    <td align="right">State<span class="mandatory">*</span></td>
       <td>
								<div id="other_txtState_div">
		<select style="display: none;" name="State" id="State" class="Country_field">
			<option selected="selected" value="select">---Select---</option>
		</select> 
		<input type="text" style="display: block;" name="txtState" class="text_field required" id="txtState">
	</div>
							</td>
       <!-- <td align="right"></td>
       <td></td> -->
      </tr> 
      
      
     <!--  <tr>
       <td align="right">State<span class="mandatory">*</span></td>
       <td><div id="other_txtState_div"></div></td>
       <td align="right"></td>
       <td></td>
      </tr> -->
      
        
      <tr>
       <td height="28" align="right">City<span class="mandatory">*</span></td>
       <td><input type="text" id="txtCity" maxlength="50" size="30" onkeypress="return onlyAlpha_forName(this,event);" class="text_field required" name="txtCity"></td>
       <td align="right" valign="top">Pincode<span class="mandatory">*</span></td>
       <td valign="top"><input type="text" onkeypress="return isNumber(this,event);" maxlength="6" id="txtPincode" class="text_field" name="txtPincode"></td>
      </tr>
     <!--  <tr>
       <td align="right" valign="top">Pincode<span class="mandatory">*</span></td>
       <td valign="top"><input type="text" name="txtPincode" class="text_field" id="txtPincode" maxlength="6" onkeypress="return isNumber(this,event);"/></td>
       <td></td>
       <td></td>
      </tr> -->
     </tbody></table></td>
    </tr>
   </tbody></table>

		<br>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
		<tbody><tr>
			<td class="sectionheading">Nationality &amp; Domicile</td>
		</tr>
		<tr>
			<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="15%">Nationality<span class="mandatory">*</span></td>
						<td align="left">
							<select onchange="javascript:fnGetDependentData('app_statecode_master',this.value,'entity_id@state_name','country_id','DomicileState','DomicileState');" name="txtAppNationality" id="txtAppNationality" class="Country_field">
								<option selected="selected" value="">---Select---</option>
							<option value="23">Afghan</option><option value="1">Algerian</option><option value="2">Argentinean</option><option value="3">Australian</option><option value="4">Austrian</option><option value="5">Bangladeshi</option><option value="6">Belgian</option><option value="7">Brazilian</option><option value="8">British</option><option value="9">Bulgarian</option><option value="10">Cambodian</option><option value="11">Canadian</option><option value="12">Chinese</option><option value="13">Colombian</option><option value="14">Dutch</option><option value="15">Egyptian</option><option value="16">Ethiopian</option><option value="17">Fijian</option><option value="18">French</option><option value="19">Georgian</option><option value="20">German</option><option value="21">Greek</option><option value="22">Hungarian</option><option value="25">Indian</option><option value="24">Indonesian</option><option value="26">Iraqi</option><option value="27">Irish</option><option value="28">Israeli</option><option value="29">Japanese</option><option value="30">Jordanian</option><option value="31">Kenyan</option><option value="32">Korean</option><option value="33">Kuwaiti</option><option value="34">Libyan</option><option value="35">Malaysian</option><option value="36">Mauritian</option><option value="37">Mexican</option><option value="38">Mongolian</option><option value="39">Nepali</option><option value="40">New Zealander</option><option value="41">Nigerian</option><option value="42">Pakistani</option><option value="43">Palestinian</option><option value="44">Portuguese</option><option value="45">Romanian</option><option value="46">Russian</option><option value="47">Siberian</option><option value="48">Singaporean</option><option value="49">South African</option><option value="50">Spanish</option><option value="51">Sri Lankan</option><option value="52">Sudanese</option><option value="53">Swedish</option><option value="54">Swiss</option><option value="55">Taiwanese</option><option value="56">Turkish</option><option value="57">Ugandan</option><option value="58">Ukrainian</option><option value="60">Uruguayan</option><option value="59">Uzbekistan</option><option value="61">Vietnamese</option><option value="62">Zimbabwean</option><option value="63">Others</option></select>
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">Domicile State<span class="mandatory">*</span></td>
						<td width="80%">
							<select style="display: none;" name="DomicileState" id="DomicileState" class="Country_field">
								<option selected="selected" value="0">---Select---</option>
							</select> 
							<input type="text" onkeypress="return onlyAlpha_forName(this,event);" style="display: block;" name="txtDomicileState" class="text_field required" id="txtDomicileState">
						</td>
					</tr>
					
					<tr>
						<td align="right" width="15%">Category<span class="mandatory">*</span></td>
						<td align="left">
							<select name="txtAppCategory" id="txtAppCategory" class="Country_field">
								<option selected="selected" value="">---Select---</option>
							<option value="22">SC</option><option value="23">ST</option><option value="24">OBC (Non-Creamy)</option><option value="25">General</option></select> 
							<input type="text" style="display: none;" name="txtCategory" id="txtCategory" maxlength="10" size="15" class="text_field">
						</td>
					</tr>
					<tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					
				</tbody></table>
			</td>
		</tr>
	</tbody></table>
	
	<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Work Experience</td>
			</tr>
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
								<td align="right" width="20%">In Months<span class="information">(as on 15.09.2010)</span></td>
								<td><input type="text" onkeypress="return isNumber(this,event);" maxlength="3" size="5" id="txtWrkExpMonths" class="text_field required" name="txtWrkExpMonths"></td>
					</tr>
					<tr>
						<td align="right" width="20%">In Sectors</td>
						<td width="80%">
							<select style="width: 180px;" name="txtWrkExpSecCode" id="txtWrkExpSecCode" class="Country_field">
								<option selected="selected" value="">---Select---</option>
							<option value="1">Information Technology(IT)/Information Technology-Enabled Services(ITeS)</option><option value="2">Telecommunications</option><option value="3">Banking/Financial Services</option><option value="4">Automobiles/Auto-Ancillaries</option><option value="5">Pharmaceuticals/Health Care</option><option value="6">Fast Moving Consumer Goods(FMCG)</option><option value="7">Durables</option><option value="8">Engineering/Industrial</option><option value="9">Retail</option><option value="10">Others</option></select>
						</td>
					</tr>
					<tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>

		<div id="uploadOutput">

		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Upload Your Photo and Signature</td>
			</tr>
			<tr>
				<td height="15">&nbsp;</td>
			</tr>


			<tr>
				<td height="15">
				<div class="bluebgpatch">
				<table cellspacing="0" cellpadding="0" border="0">
					<tbody><tr>
						<td>Do you want to upload your photo or signature now?</td>
						<td width="20">&nbsp;</td>
						<td>&nbsp;</td>
						<td><input type="radio" onclick="imgUploadNow(this)" value="Y" id="upload_now_R" name="upload_now_R"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" onclick="imgUploadNow(this)" value="N" id="upload_now_R" name="upload_now_R"><strong>No</strong>&nbsp;</td>
						
					</tr>
				</tbody></table>
				</div>
				</td>
			</tr>
             <tr>
				<td height="13">
				
				
				</td>
			</tr>

			<tr id="img_tr_hide1" style="display: none;">
				<td valign="top">
				<div class="notepatch2">
				<table cellspacing="0" cellpadding="0" border="0">
					<tbody><tr>
						<td align="center" width="36" valign="top" class="note">Note</td>
						<td width="780" valign="top"><span class="hinttext">Please bring passport size photograph,if called for GD/PI.</span></td>
					</tr>
				</tbody></table>
				</div>
				</td>
			</tr> 

			<tr height="40" id="img_tr_hide2" style="display: none;">
				<td align="left" width="100%" valign="middle">&nbsp; <b>Please
				upload your photo or signature </b><a onclick="openImagePopUp('17')" href="#"><b>here</b></a>.
				</td>
			</tr>

		</tbody></table>
		</div>


		<div class="butonhldr">
		<table height="40" cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td width="25%">&nbsp;</td>
				<td width="65%">&nbsp;</td>
				<td width="10%"><input type="button" style="border: medium none ; background: transparent url(images/onlineAppForm/next.gif) no-repeat scroll 0% 0%; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous; height: 28px; width: 68px;" onclick="javascript: validatePersonalDetails()" id="showcontent2" class="nexttabbutton" value=""></td>
					<!-- onclick="javascript: validatePersonalDetails()" -->
			</tr>
		</tbody></table>


</div>
</div>

<div id="fragment-29" class="tabs-container tabs-hide" style="">
	<table cellspacing="0" cellpadding="0" border="0" width="100%">
		<tbody><tr>
			<td class="sectionheading">SSC Details</td>
		</tr>
		<tr>
			<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="20%">SSC Board<span class="mandatory">*</span></td>
						<td width="80%">
							<select style="display: block;" name="SSCBoardCode" id="SSCBoardCode" class="Country_field">
								<option selected="selected" value="">---Select---</option>
							<option value="1">Andhra Pradesh</option><option value="2">Arunachal Pradesh</option><option value="3">Assam</option><option value="4">Bihar</option><option value="5">Chandigarh</option><option value="6">Chhattisgarh</option><option value="7">Delhi</option><option value="8">Goa</option><option value="9">Gujarat</option><option value="10">Haryana</option><option value="11">Himachal Pradesh</option><option value="12">Jammu &amp; Kashmir</option><option value="13">Jharkhand</option><option value="14">Karnataka</option><option value="15">Kerala</option><option value="16">Madhya Pradesh</option><option value="17">Maharashtra</option><option value="18">Manipur</option><option value="19">Meghalaya</option><option value="20">Mizoram</option><option value="21">Nagaland</option><option value="22">Orissa</option><option value="23">Pondicherry</option><option value="24">Punjab</option><option value="25">Rajasthan</option><option value="26">Sikkim</option><option value="27">Tamil Nadu</option><option value="28">Tripura</option><option value="29">Uttar Pradesh</option><option value="30">Uttaranchal</option><option value="31">West Bengal</option><option value="32">Central Board of Secondary Education (CBSE)</option><option value="33">Indian Council of Secondary Education (ICSE)</option><option value="34">Any Other</option></select> 
							
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">SSC Percentage<span class="mandatory">*</span></td>
						<td><table><tbody><tr>
						<td align="left"><input type="text" onkeypress="return isfloatNumber(this,event);" id="txtSSCPer" maxlength="5" size="2" class="text_field required" name="txtSSCPer">
						</td>
						
						</tr></tbody></table></td>
					</tr>
					<tr>
						<td align="right" width="20%">Mode<span class="mandatory">*</span></td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="SSCModeCode" name="SSCModeCode">
							<option selected="selected" value="">--select--</option>
							<option value="1">Regular</option>
							<option value="2">Distance Learning Programme</option>
							<option value="3">Correspondence</option>
						</select></td>
					</tr>
					<tr>
					</tr>
				</tbody></table>
			</td>
		</tr>
	</tbody></table>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">HSC Details</td>
			</tr>
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="20%">HSC Board<span class="mandatory">*</span></td>
						<td width="80%">
						<select style="display: block;" name="HSCBoardCode" id="HSCBoardCode" class="Country_field">
								<option selected="selected" value="">---Select---</option>
							<option value="1">Andhra Pradesh</option><option value="2">Arunachal Pradesh</option><option value="3">Assam</option><option value="4">Bihar</option><option value="5">Chandigarh</option><option value="6">Chhattisgarh</option><option value="7">Delhi</option><option value="8">Goa</option><option value="9">Gujarat</option><option value="10">Haryana</option><option value="11">Himachal Pradesh</option><option value="12">Jammu &amp; Kashmir</option><option value="13">Jharkhand</option><option value="14">Karnataka</option><option value="15">Kerala</option><option value="16">Madhya Pradesh</option><option value="17">Maharashtra</option><option value="18">Manipur</option><option value="19">Meghalaya</option><option value="20">Mizoram</option><option value="21">Nagaland</option><option value="22">Orissa</option><option value="23">Pondicherry</option><option value="24">Punjab</option><option value="25">Rajasthan</option><option value="26">Sikkim</option><option value="27">Tamil Nadu</option><option value="28">Tripura</option><option value="29">Uttar Pradesh</option><option value="30">Uttaranchal</option><option value="31">West Bengal</option><option value="32">Central Board of Secondary Education (CBSE)</option><option value="33">Indian Council of Secondary Education (ICSE)</option><option value="34">Any Other</option></select> 
						
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">HSC Discipline<span class="mandatory">*</span></td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="HSCDisciplineCode" name="HSCDisciplineCode">
							<option selected="selected" value="">--select--</option>
							<option value="1">Arts/ Humanities</option>
							<option value="2">Commerce</option>
							<option value="3">Science</option>
							<option value="4">Any Other</option>
						</select></td>
					</tr>
					<tr>
						<td align="right" width="20%">HSC Percentage<span class="mandatory">*</span></td>
						<td><table><tbody><tr>
						<td align="left"><input type="text" onkeypress="return isfloatNumber(this,event);" id="txtHSCPer" maxlength="5" size="2" class="text_field required" name="txtHSCPer">
						</td>
						
						</tr></tbody></table></td>
					</tr>
					<tr>
						<td align="right" width="20%">Mode<span class="mandatory">*</span></td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="HSCModeCode" name="HSCModeCode">
							<option selected="selected" value="">--select--</option>
							<option value="1">Regular</option>
							<option value="2">Distance Learning Programme</option>
							<option value="3">Correspondence</option>
						</select></td>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Bachelors Degree Details</td>
			</tr>
			
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="5" align="right" colspan="5"></td>
					</tr>
					<tr>
					<td colspan="2">
					<div width="100%" class="bluebgpatch"> 
						<table cellspacing="0" cellpadding="0" border="0" width="100%">
							<tbody><tr>
													
								<td align="left">
								<input type="radio" onclick="fnCheckRadio(this,'BD_result_status')" value="Yes" id="BD_result_status_R" name="BD_result_status_R"><strong>Result Announced</strong>
								<input type="radio" onclick="fnCheckRadio(this,'BD_result_status')" value="No" id="BD_result_status_R" name="BD_result_status_R"><strong>Result Not Announced</strong>
								</td>
							</tr>
						</tbody></table>
					</div> 
					</td>
					</tr>
					<tr>
						<td align="right" width="20%">Bachelors Degree Discipline<span class="mandatory">*</span></td>
						<td width="80%"><select style="display: block;" class="largedropdown_field" id="BDDisciplineCode" name="BDDisciplineCode">
							<option selected="selected" value="">--select--</option>
						<option value="1">Agriculture: Agronomy, Soil Science, Agricultural Biochemistry, Agricultural Economics, Agricultural Extension, Plant Breeding and Genetics, Entomology, Plant Pathology etc.</option><option value="2">Agricultural Engineering</option><option value="3">Animal Husbandry</option><option value="4">Architecture</option><option value="5">Arts/Humanities: Archaeology, Education, Fine Arts (Dance, Music, Painting), Geography, History, Journalism, Languages, Library Science, Literature, Philosophy, Political Science, Psychology, Public Administration, Social Work/Welfare, Sociology, etc.</option><option value="6">Commerce/Economics: Accountancy, Auditing, Banking, Business Mathematics, Business Organisation, Economics, Economic Development and Planning, Public Administration, Public Finance, Secretarial Practices etc.</option><option value="7">Chartered Accountancy</option><option value="8">Cost and Works Accountancy</option><option value="9">Company Secretaryship</option><option value="10">Computer Science/Computer Application/Information Technology</option><option value="11">Dairy Science/Technology</option><option value="12">Education (including Physical Education and Sports)</option><option value="13">Engineering/Technology: B.E./M.E., B.Sc. (Engg)./M.Sc. (Engg.), B.Tech./M.Tech. in all engineering subjects, including Computer Engineering other than Agricultural Engineering and Dairy Technology</option><option value="14">Fisheries</option><option value="15">Forestry</option><option value="16">Food Technology</option><option value="17">Horticulture</option><option value="18">Hotel &amp; Tourism Management</option><option value="19">Law</option><option value="20">Management (Business Administration/Business Management/Business Studies/Management Studies)</option><option value="21">Medicine/Dentistry</option><option value="22">Pharmacology/Pharmacy</option><option value="23">Rural Studies/Rural Sociology/Rural Cooperatives/Rural Banking</option><option value="24">Science: Biology, Biochemistry, Bio-technology, Botany, Life Science, Zoology</option><option value="25">Science: Chemistry, Mathematics, Physics, Statistics</option><option value="26">Science (Others): Home Science, Nursing, and all other branches of Science not explicitly mentioned elsewhere in this list</option><option value="27">Veterinary Science</option><option value="28">Any Other</option></select></td>
					</tr>
					<tr>
						<td align="right" width="20%">Percentage<span class="mandatory">*</span></td>
						<td><table><tbody><tr>
						<td align="left"><input type="text" onkeypress="return isfloatNumber(this,event);" id="txtBDPercent" maxlength="5" size="2" class="text_field required" name="txtBDPercent">
						</td>
						
						</tr></tbody></table></td>
					</tr>
					<tr>
						<td align="right" width="20%">Mode<span class="mandatory">*</span></td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="BDLearningModeCode" name="BDLearningModeCode">
							<option selected="selected" value="">--select--</option>
							<option value="1">Regular</option>
							<option value="2">Distance Learning Programme</option>
							<option value="3">Correspondence</option>
							
						</select></td>
					</tr>
					<tr>
						<td align="right" width="20%">Type Of University<span class="mandatory">*</span></td>
						<td width="80%">
							<select style="width: 180px;" name="BDTypeOfUniversityCode" id="BDTypeOfUniversityCode" class="Country_field">
								<option selected="selected" value="0">---Select---</option>
							<option value="1">Universities incorporated by Central or State Legislature or Deemed Universities, as defined in the eligibility criteria for Post-graduate Programmes of IIMs</option><option value="2">National Institute of Technology (NITs)</option><option value="3">Indian Institute of Technology (IITs)</option><option value="4">Institutes(other than IITs) created by an Act of Parliament</option><option value="5">Institutes awarding equivalent qualifications recognized by Ministry of HRD</option><option value="6">Any Other</option></select>
						
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">Institute/University State<span class="mandatory">*</span></td>
						<td width="80%">
							<select onchange="javascript:fnGetDependentData('app_universityname_master',this.value,'entity_id@university_name','state_id','BDUnivCode','BDUnivCode');" style="display: block;" name="BDUnivStateCode" id="BDUnivStateCode" class="Country_field">
								<option selected="selected" value="0">---Select---</option>
							<option value="1">Andhra Pradesh</option><option value="2">Arunachal Pradesh</option><option value="3">Assam</option><option value="4">Bihar</option><option value="5">Chandigarh</option><option value="6">Chhattisgarh</option><option value="7">Delhi</option><option value="8">Goa</option><option value="9">Gujarat</option><option value="10">Haryana</option><option value="11">Himachal Pradesh</option><option value="12">Jammu &amp; Kashmir</option><option value="13">Jharkhand</option><option value="14">Karnataka</option><option value="15">Kerala</option><option value="16">Madhya Pradesh</option><option value="17">Maharashtra</option><option value="18">Manipur</option><option value="19">Meghalaya</option><option value="20">Mizoram</option><option value="21">Nagaland</option><option value="22">Orissa</option><option value="23">Pondicherry</option><option value="24">Punjab</option><option value="25">Rajasthan</option><option value="26">Sikkim</option><option value="27">Tamil Nadu</option><option value="28">Tripura</option><option value="29">Uttar Pradesh</option><option value="30">Uttaranchal</option><option value="31">West Bengal</option><option value="32">Central Board of Secondary Education (CBSE)</option><option value="33">Indian Council of Secondary Education (ICSE)</option><option value="34">Any Other</option></select> 
							
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">Institute/University<span class="mandatory">*</span></td>
						<td width="80%">
							<select style="display: none;" class="Country_field" id="BDUnivCode" name="BDUnivCode">
							<option selected="selected" value="">--select--</option>
							</select>
						<input type="text" style="display: block;" name="txtBDUnivCode" class="text_field required" id="txtBDUnivCode">
						</td>
					</tr>
					<tr>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Scholarship Admission 2011</td>
			</tr>
			<tr>
				<td>
				<br>
					<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="5" align="right" colspan="5"></td>
					</tr>
					<tr>
					<td colspan="2">
					<div width="100%" class="bluebgpatch"> 
						<table cellspacing="0" cellpadding="0" border="0" width="100%">
							<tbody><tr>
								<td width="40%">Do you want to apply for Scholarship 2011?<span class="mandatory">*</span></td>
								<td align="left">
									<input type="radio" onclick="fnCheckRadio(this,'txtScholarship')" value="Yes" id="txtScholarship_R" name="txtScholarship_R"><strong>Yes</strong>
									<input type="radio" onclick="fnCheckRadio(this,'txtScholarship')" value="No" id="txtScholarship_R" name="txtScholarship_R"><strong>No</strong>
									<input type="radio" onclick="fnCheckRadio(this,'txtScholarship')" value="Not Eligible" id="txtScholarship_R" name="txtScholarship_R"><strong>Not Eligible</strong>
								</td>
							</tr>
						</tbody></table>
					</div> 
					</td>
					</tr>
					<tr>
				<td>
				 <div class="notepatch2">
					<table cellspacing="0" cellpadding="0" border="0">
						<tbody><tr>
							<td align="center" width="36" valign="top" class="note">Note</td>
							<td width="780" valign="top"><span class="hinttext">Please visit website at 
							www.bimtech.ac.in/admission for Scholarship Eligibility details having CAT 
							Percentile, SSC, HSC, Graduation percentage requirement and Parents per annum 
							income criteria.
							</span></td>
						</tr>
					</tbody></table>
				</div>
			   </td>
			</tr>
					<tr>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Professional Course Details</td>
			</tr>
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="5" align="right" colspan="5"></td>
					</tr>
					<tr>
					<td colspan="2">
					<div width="100%" class="bluebgpatch"> 
						<table cellspacing="0" cellpadding="0" border="0" width="100%">
							<tbody><tr>
													
								<td align="left">
								<input type="radio" onclick="fnCheckRadio(this,'profCourseType')" value="Inter" id="profCourseType_R" name="profCourseType_R"><strong>Inter</strong>
								<input type="radio" onclick="fnCheckRadio(this,'profCourseType')" value="Final" id="profCourseType_R" name="profCourseType_R"><strong>Final</strong>
								</td>
							</tr>
						</tbody></table>
					</div> 
					</td>
					</tr>
					<tr>
						<td align="right" width="20%">Professional Course Discipline</td>
						<td width="80%">
						<select class="Country_field" id="profCourseDisciplineCode" name="profCourseDisciplineCode">
							<option selected="selected" value="">--select--</option>							
						<option value="1">Agriculture: Agronomy, Soil Science, Agricultural Biochemistry, Agricultural Economics, Agricultural Extension, Plant Breeding and Genetics, Entomology, Plant Pathology etc.</option><option value="2">Agricultural Engineering</option><option value="3">Animal Husbandry</option><option value="4">Architecture</option><option value="5">Arts/Humanities: Archaeology, Education, Fine Arts (Dance, Music, Painting), Geography, History, Journalism, Languages, Library Science, Literature, Philosophy, Political Science, Psychology, Public Administration, Social Work/Welfare, Sociology, etc.</option><option value="6">Commerce/Economics: Accountancy, Auditing, Banking, Business Mathematics, Business Organisation, Economics, Economic Development and Planning, Public Administration, Public Finance, Secretarial Practices etc.</option><option value="7">Chartered Accountancy</option><option value="8">Cost and Works Accountancy</option><option value="9">Company Secretaryship</option><option value="10">Computer Science/Computer Application/Information Technology</option><option value="11">Dairy Science/Technology</option><option value="12">Education (including Physical Education and Sports)</option><option value="13">Engineering/Technology: B.E./M.E., B.Sc. (Engg)./M.Sc. (Engg.), B.Tech./M.Tech. in all engineering subjects, including Computer Engineering other than Agricultural Engineering and Dairy Technology</option><option value="14">Fisheries</option><option value="15">Forestry</option><option value="16">Food Technology</option><option value="17">Horticulture</option><option value="18">Hotel &amp; Tourism Management</option><option value="19">Law</option><option value="20">Management (Business Administration/Business Management/Business Studies/Management Studies)</option><option value="21">Medicine/Dentistry</option><option value="22">Pharmacology/Pharmacy</option><option value="23">Rural Studies/Rural Sociology/Rural Cooperatives/Rural Banking</option><option value="24">Science: Biology, Biochemistry, Bio-technology, Botany, Life Science, Zoology</option><option value="25">Science: Chemistry, Mathematics, Physics, Statistics</option><option value="26">Science (Others): Home Science, Nursing, and all other branches of Science not explicitly mentioned elsewhere in this list</option><option value="27">Veterinary Science</option><option value="28">Any Other</option></select>
						
						</td>
					</tr>
					<tr>
						<td align="right" width="20%">Percentage</td>
						<td><table><tbody><tr>
						<td align="left"><input type="text" onkeypress="return isNumber(this,event);" id="txtProfCoursePercent" maxlength="2" size="2" class="text_field required" name="txtProfCoursePercent">
						</td>
						
						</tr></tbody></table></td>
					</tr>
					<tr>
						<td align="right" width="20%">Mode</td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="profCourseModeCode" name="profCourseModeCode">
							<option selected="selected" value="">--select--</option>
							<option value="1">Regular</option>
							<option value="2">Distance Learning Programme</option>
							<option value="3">Correspondence</option>
							
							
						</select></td>
					</tr>
					<tr>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Master Degree Details</td>
			</tr>
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="20%">Master Degree Discipline</td>
						<td width="80%">
						<select class="Country_field" id="MDdisciplineCode" name="MDdisciplineCode">
							<option selected="selected" value="">--select--</option>							
						<option value="1">Agriculture: Agronomy, Soil Science, Agricultural Biochemistry, Agricultural Economics, Agricultural Extension, Plant Breeding and Genetics, Entomology, Plant Pathology etc.</option><option value="2">Agricultural Engineering</option><option value="3">Animal Husbandry</option><option value="4">Architecture</option><option value="5">Arts/Humanities: Archaeology, Education, Fine Arts (Dance, Music, Painting), Geography, History, Journalism, Languages, Library Science, Literature, Philosophy, Political Science, Psychology, Public Administration, Social Work/Welfare, Sociology, etc.</option><option value="6">Commerce/Economics: Accountancy, Auditing, Banking, Business Mathematics, Business Organisation, Economics, Economic Development and Planning, Public Administration, Public Finance, Secretarial Practices etc.</option><option value="7">Chartered Accountancy</option><option value="8">Cost and Works Accountancy</option><option value="9">Company Secretaryship</option><option value="10">Computer Science/Computer Application/Information Technology</option><option value="11">Dairy Science/Technology</option><option value="12">Education (including Physical Education and Sports)</option><option value="13">Engineering/Technology: B.E./M.E., B.Sc. (Engg)./M.Sc. (Engg.), B.Tech./M.Tech. in all engineering subjects, including Computer Engineering other than Agricultural Engineering and Dairy Technology</option><option value="14">Fisheries</option><option value="15">Forestry</option><option value="16">Food Technology</option><option value="17">Horticulture</option><option value="18">Hotel &amp; Tourism Management</option><option value="19">Law</option><option value="20">Management (Business Administration/Business Management/Business Studies/Management Studies)</option><option value="21">Medicine/Dentistry</option><option value="22">Pharmacology/Pharmacy</option><option value="23">Rural Studies/Rural Sociology/Rural Cooperatives/Rural Banking</option><option value="24">Science: Biology, Biochemistry, Bio-technology, Botany, Life Science, Zoology</option><option value="25">Science: Chemistry, Mathematics, Physics, Statistics</option><option value="26">Science (Others): Home Science, Nursing, and all other branches of Science not explicitly mentioned elsewhere in this list</option><option value="27">Veterinary Science</option><option value="28">Any Other</option></select>
						</td>
					</tr>
					
					
					<tr>
					</tr>
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		
		<div class="butonhldr">
		<table height="40" cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td width="34%">&nbsp;</td>
				<td width="56%">&nbsp;</td>
				<td width="10%">
				<input type="button" style="border: medium none ; background: transparent url(images/onlineAppForm/next.gif) no-repeat scroll 0% 0%; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous; height: 28px; width: 68px;" onclick="javascript: validateQualificationDetails()" id="showcontent3" class="nexttabbutton" value="">
					<!--
				<input type="button"  value="" id="showcontent3" onclick="javascript: validateQualificationDetails()" style="background:url(images/onlineAppForm/next.gif) no-repeat;border:none; height:28px;width:68px;" /></td>
				 onclick="javascript: validateQualificationDetails()" -->
			</td></tr>
		</tbody></table>
		</div>
		</div>
		
	<div id="fragment-30" class="tabs-container" style="">
		
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Test details</td>
			</tr>
			<tr></tr>
			<tr></tr>
			
			<tr>
				<td>
				<table cellspacing="0" cellpadding="0" border="0" width="100%" id="CAT_TABLE">
					<tbody><tr>
						<td height="12" align="right"></td>
					</tr>
					<tr>
						<td>
						<div class="bluebgpatch">
						<table cellspacing="0" cellpadding="0" border="0" style="display: block;">
							<tbody><tr>
								<td width="398">Have you appeared/appearing in CAT 2010?<span class="mandatory">*</span>
								<br>
								</td>
								<td width="10">&nbsp;</td>
								<td width="9">&nbsp;</td>
								<td width="93"><input type="radio" onclick="fnAppearCAT(this.value)" value="Yes" id="isAppearCAT_R" name="isAppearCAT_R"><strong>Yes</strong>&nbsp;</td>
								<td width="3">&nbsp;</td>
								<td width="58"><input type="radio" onclick="fnAppearCAT(this.value)" value="No" id="isAppearCAT_R" name="isAppearCAT_R"><strong>No</strong>&nbsp;</td>
								<td width="19">&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					
					<tr style="display: none;" id="CAT_dtls_div">
						<td>
							<div class="whitebgpatch">
							<table cellspacing="0" cellpadding="0" border="0">
								<tbody><tr>
									<td width="393">Are the result and details of the CAT 2010 available now?<span class="mandatory">*</span> <br></td>
									<td width="10">&nbsp;</td>
									<td width="10">&nbsp;</td>
									<td width="145"><input type="radio" onclick="fnResultAvailCAT(this.value)" value="Yes" id="resultAvailCAT_R" name="resultAvailCAT_R"><strong>Yes</strong>&nbsp;
									</td>
									<td width="4">&nbsp;</td>
									<td width="58"><input type="radio" onclick="fnResultAvailCAT(this.value)" value="No" id="resultAvailCAT_R" name="resultAvailCAT_R"><strong>No</strong>&nbsp;
									</td>
									<td width="7">&nbsp;</td>
								</tr>
							</tbody></table>
							</div>
						</td>
					</tr>
					
					
					<tr>
						<td>
						<div class="whitebgpatch">
						<table cellspacing="0" cellpadding="2" border="0">
							
							<tbody><tr>
								<td height="5"></td>
								<td></td>
								<td></td>
								<td></td>
							</tr>
							<tr>
								<td width="100" valign="top" id="regNo_txt" style="display: none;">Reg. No.<span class="mandatory">*</span></td>
								<td width="135" valign="top" id="regNo" style="display: none;">
								<input type="text" onkeypress="return isNumber(this,event);" maxlength="7" size="8" id="txtCATRegNo" name="txtCATRegNo" class="text_field required">
							    </td>
								<td id="regNo_note" style="display: none;">
								<div class="notepatch3">
								<table cellspacing="0" cellpadding="0" border="0" width="100%">
									<tbody><tr>
										<td align="center" width="36" valign="top" class="note">Note</td>
										<td width="512" valign="top"><span class="hinttext">Please enter only the Numeric part of your CAT Registration No.</span></td>
									</tr>
								</tbody></table>
								</div>
								</td>
					
								<td>&nbsp;</td>
								</tr><tr id="centerCode" style="display: none;">
								<td width="100">Center Code<span class="mandatory">*</span></td>
								<td><input type="text" onkeypress="return onlyAlphaNumeric(this,event);" maxlength="6" size="6" id="txtCATCenterCode" class="text_field required" name="txtCATCenterCode"></td>
							</tr>
							<tr id="percentile" style="display: none;">
								<td width="100">Percentile<span class="mandatory">*</span></td>
								<td><table><tbody><tr>
								<td><input type="text" onkeypress="return isfloatNumber(this,event);" maxlength="5" size="2" id="txtCATPercent" class="text_field required" name="txtCATPercent"></td>
								
								</tr></tbody></table></td>
							</tr>
							
							
						</tbody></table>
						</div>
						</td>
					</tr>
				</tbody></table>
				</td>
			</tr>
			<tr>
				<td>
				<table cellspacing="0" cellpadding="0" border="0" width="100%" style="display: none;" id="MAT_TABLE">
					<tbody><tr>
						<td height="12" align="right"></td>
					</tr>
					<tr>
						<td>
						<div class="bluebgpatch">
						<table cellspacing="0" cellpadding="0" border="0">
							<tbody><tr>
								<td>Have you appeared/apprearing in MAT(Dec. 2010)?<span class="mandatory">*</span>
								<br>
								</td>
								<td width="20">&nbsp;</td>
								<td>&nbsp;</td>
								<td><input type="radio" onclick="fnAppearMAT(this.value)" value="Yes" id="isAppearMAT_rad" name="isAppearMAT_rad"><strong>Yes</strong>&nbsp;</td>
								<td>&nbsp;</td>
								<td><input type="radio" onclick="fnAppearMAT(this.value)" value="No" id="isAppearMAT_rad" name="isAppearMAT_rad"><strong>No</strong>&nbsp;</td>
								<td>&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr style="display: none;" id="MATResultTable">
						<td>
						<div class="whitebgpatch">
						<table cellspacing="0" cellpadding="0" border="0">
							<tbody><tr>
								<td>Are the result and details of the MAT(Dec. 2010) available
								now?<span class="mandatory">*</span> <br>
								</td>
								<td width="20">&nbsp;</td>
								<td>&nbsp;</td>
								<td><input type="radio" onclick="fnResultAvailMAT(this.value)" value="Yes" id="resultAvailMAT_rad" name="resultAvailMAT_rad"><strong>Yes</strong>&nbsp;</td>
								<td>&nbsp;</td>
								<td><input type="radio" onclick="fnResultAvailMAT(this.value)" value="No" id="resultAvailMAT_rad" name="resultAvailMAT_rad"><strong>No</strong>&nbsp;</td>
								<td>&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr style="display: none;" id="MAT_DETAILS_TABLE_Y">
						<td>
						<div class="whitebgpatch">
						<table cellspacing="0" cellpadding="2" border="0">
							<tbody><tr>
								<td colspan="4">What is your MAT Reg. No.,Center Code and Percentile
								of MAT(DEC. 2010)?</td>
							</tr>
							<tr>
								<td height="5"></td>
								<td></td>
								<td></td>
								<td></td>
							</tr>
							<tr>
								<td width="100">Reg. No.<span class="mandatory">*</span></td>
								<td><input type="text" onkeypress="return isNumber(this,event);" maxlength="7" size="8" id="txtMATRegNo" class="text_field required" name="txtMATRegNo"></td>
							</tr>
							<tr>
								<td width="100">Center Code<span class="mandatory">*</span></td>
								<td><input type="text" onkeypress="return isNumber(this,event);" maxlength="2" size="3" id="txtMATCentreCode" class="text_field required" name="txtMATCentreCode"></td>
							</tr>
							<tr>
								<td width="100">Percentile<span class="mandatory">*</span></td>
								<td><table><tbody><tr>
								<td><input type="text" onkeypress="return isNumber(this,event);" maxlength="2" size="2" id="txtMATPercentW" class="text_field required" name="txtMATPercentW"></td>
								<td>.</td>
								<td><input type="text" onkeypress="return isNumber(this,event);" maxlength="2" size="2" id="txtMATPercentE" class="text_field required" name="txtMATPercentE">
								</td>
								</tr></tbody></table></td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr style="display: none;" id="MAT_DETAILS_TABLE_N">
						<td>
						<div class="whitebgpatch">
						<table cellspacing="0" cellpadding="2" border="0">
							<tbody><tr>
								<td colspan="4">What is your Reg. No. of MAT(Dec. 2010)?</td>
							</tr>
							<tr>
								<td height="5"></td>
								<td></td>
								<td></td>
								<td></td>
							</tr>
							<tr>
								<td width="100" valign="top">Reg. No.<span class="mandatory">*</span></td>
								<td width="135" valign="top"><input type="text" onkeypress="return isNumber(this,event);" maxlength="7" size="8" class="text_field required" id="txtMATRegNo_assign" name="txtMATRegNo_assign"></td>
								<td>
								<div class="notepatch3">
								<table cellspacing="0" cellpadding="0" border="0" width="100%">
									<tbody><tr>
										<td align="center" width="36" valign="top" class="note">Note</td>
										<td width="512" valign="top"><span class="hinttext">Please enter only the Numeric part of your CAT Registration No.</span></td>
									</tr>
								</tbody></table>
								</div>
								</td>
								<td>&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
				</tbody></table>
				</td>
			</tr>
			
		</tbody></table>
				
		<div class="butonhldr">
		<table height="40" cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td width="34%">&nbsp;</td>
				<td width="56%">&nbsp;</td>
				<td width="10%"> 
                <form action="course_choice" method="post">
                
                <input type="submit" value="Next" name="next"  />
         </form><!--
				<input type="button"
					 value=""
					id="showcontent4" onclick="javascript: validatieTestDetails()" style="background:url(images/onlineAppForm/next.gif) no-repeat;border:none; height:28px;width:68px;"/></td>
				 onclick="javascript: validateCourseChoices()" -->			</td>
			</tr>
		</tbody></table>
		</div>
</div>
	





<div id="fragment-31" class="tabs-container tabs-hide">
		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Course Details</td>
			</tr>
			<tr>
				<td>
				<table height="30" cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="15" align="right" colspan="5"></td>
					</tr>
					<tr>
						<td align="right" width="20%">GD/PI Center choice<span class="mandatory">*</span></td>
						<td width="80%"><select style="width: 180px;" class="Country_field" id="GDPICenterCode" name="GDPICenterCode">
							<option selected="selected" value="">--select--</option>
							<option value="01">AHMEDABAD</option>
							<option value="02">BANGALURU</option>
							<option value="03">BHUBNESHWAR</option>
							<option value="04">CHENNAI</option>
							<option value="05">GREATER NOIDA</option>
							<option value="06">HYDERABAD</option>
							<option value="07">INDORE</option>
							<option value="08">JAMSHEDPUR</option>
							<option value="09">KOLKATA</option>
							<option value="10">MUMBAI</option>
							<option value="11">PATNA</option>
							<option value="12">PUNE</option>
						</select></td>
					</tr>
					
					<tr>
						<td colspan="5">
						<table cellspacing="3" cellpadding="3" border="0" width="100%">
							<tbody><tr>
								<td align="right" width="20%">Candidate Category</td>
								
							</tr>
							
							<tr>
								<td></td>
								<td align="left">Preference 1<span class="mandatory">*</span></td>
								<td><select style="width: 180px;" class="Country_field" onchange="fnCandCate1(this);" id="candCatePref1Code" name="candCatePref1Code">
									<option selected="selected" value="">--select--</option>
									<option value="1">MERIT</option>
									<option value="2">CORP. SPONSORED</option>
									<option value="3">NRI</option>
									<option value="4">NRI SPONSORED</option>
									<option value="5">INTERNATIONAL STUDENTS</option>
								</select></td>
								<td align="left">Preference 2</td>
								<td><select style="width: 180px;" class="Country_field" onchange="fnCandCate1(this);" id="candCatePref2Code" name="candCatePref2Code">
									<option selected="selected" value="">--select--</option>
									<option value="1">MERIT</option>
									<option value="2">CORP. SPONSORED</option>
									<option value="3">NRI</option>
									<option value="4">NRI SPONSORED</option>
									<option value="5">INTERNATIONAL STUDENTS</option>
								</select></td>
							</tr>
						</tbody></table>
						</td>
					</tr>
					<tr>
						<td colspan="5">
						<table cellspacing="3" cellpadding="3" border="0" width="100%">
							<tbody><tr>
								<td align="right" width="20%">Program Code</td>
								<td width="80" colspan="4"><span class="information"></span></td>
							</tr>
							
							<tr>
								<td></td>
								<td align="left">Preference 1<span class="mandatory">*</span></td>
								<td>
								<select style="width: 180px;" class="Country_field" id="progPref1Code" name="progPref1Code">
									<option selected="selected" value="">--select--</option>
									<option value="1">PGDM</option>
									<option value="2">PGDM(IB)</option>
									<option value="3">PGDM(IBM)</option>
									<option value="4">PGDM(RM)</option>
									<option value="5">PGDM(SD)</option>
								</select>
								
								</td>
								<td align="left" id="labelProgPref2CAT">Preference 2</td>
								<td id="progPref2CAT"><select style="width: 180px;" class="Country_field" id="progPref2Code" name="progPref2Code">
									<option selected="selected" value="">--select--</option>
									<option value="1">PGDM</option>
									<option value="2">PGDM(IB)</option>
									<option value="3">PGDM(IBM)</option>
									<option value="4">PGDM(RM)</option>
									<option value="5">PGDM(SD)</option>
								</select></td>
							</tr>
						</tbody></table>
						</td>
					</tr>
					
				</tbody></table>
				</td>
			</tr>
		</tbody></table>
		

		<div class="butonhldr">
		<table height="40" cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td width="25%">&nbsp;</td>
				<td width="65%">&nbsp;</td>
				<td width="10%">
				<input type="button" style="border: medium none ; background: transparent url(images/onlineAppForm/next.gif) no-repeat scroll 0% 0%; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous; height: 28px; width: 68px;" onclick="javascript: validateCourseChoices()" id="showcontent5" class="nexttabbutton" value="">
				<!--
				<input type="button"
					 value=""
					id="showcontent5" onclick="javascript: validateCourseChoices()" style="background:url(images/onlineAppForm/next.gif) no-repeat;border:none; height:28px;width:68px;" /></td>
					 onclick="javascript: validatieTestDetails()" -->
			</td></tr>
		</tbody></table>
		</div>
		</div>

		<div style="padding-left: 25px;" id="fragment-32" class="tabs-container tabs-hide">
		<table cellspacing="0" cellpadding="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Payment Procedure</td>
			</tr>
			<tr>
				<td>
				<table cellspacing="0" cellpadding="5" border="0" width="100%">
					<tbody><tr>
						<td height="12" align="right"></td>
					</tr>
					<tr>
						<td>
						<div class="notepatch2">
						<table cellspacing="0" cellpadding="0" border="0">
							<tbody><tr>
								<td align="center" width="36" valign="top" class="note">Note</td>
								<td width="780" valign="top">
									<span class="hinttext">
										Application Fee for Online Payment is 1750/-.<br>
										Application Fee for Cash Payment is 1700/-.
									</span>
								</td>
							</tr>
								
						
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr>
						<td>
						<div class="bluebgpatch_payment">
						<table cellspacing="1" cellpadding="1" border="0">
						<!--
						 	<tr>
								<td width="34%"><input type="radio" name="payment2_rad"
									id="payment2_rad" value="cash" onclick="view(this)" /> 
									<strong>Cash payment at Axis Bank branches</strong></td>
							</tr>
							-->
							<tbody><tr>
								<td><input type="radio" onclick="view(this)" value="cashBIMTech" id="payment_mode_R" name="payment_mode_R"> 
									<strong>Cash payment</strong></td>
							</tr>
							<tr>
								<td><input type="radio" onclick="view(this)" value="online" id="payment_mode_R" name="payment_mode_R">
									<strong>Online payment[Credit Card]</strong></td>
							</tr>
						</tbody></table>
						</div>
						
						</td>
					</tr>
					<tr>
						<td>
						<div id="choose_cash" class="hide">
						<table cellspacing="0" cellpadding="5" border="0" width="100%">
							<tbody><tr>
								<td valign="top" colspan="4">
								<table cellspacing="0" cellpadding="0" border="0" width="100%">
									<tbody><tr>
										<td class="sectionheading">Cash payment at Axis Bank
										branches</td>
									</tr>
								</tbody></table>
								</td>
							</tr>
							<tr width="100%">
								<td width="100%">
								<div class="notepatch2">
								<table cellspacing="0" cellpadding="0" border="0">
									<tbody><tr>
										<td align="center" width="36" valign="top" class="note">Note</td>
										<td width="780" valign="top"><span class="hinttext">The
										candidate has payed the fees at the Axis bank's branch, he/she
										will be provided with a scratch card and broucher.<br>
										Please enter the Scratch Card Number.</span></td>
									</tr>
								</tbody></table>
								</div>
								</td>
								
							</tr>
							<tr>
								<td align="left" width="100%" valign="top">Scratch Card PIN
								no.(16 digits)<span class="mandatory">*</span>
								<input type="text" onkeypress="return onlyAlphaNumeric(this,event);" size="16" maxlength="16" id="txt_PIN_NO_Cash" class="text_field_name" name="txt_PIN_NO_Cash">
								</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
					<tr>
						<td>
						
						<div id="choose_online" class="hide">
						<table cellspacing="0" cellpadding="0" border="0" width="100%">
							<tbody><tr>
								<td class="sectionheading">Credit Card</td>
							</tr>
						</tbody></table>
						<table cellspacing="0" cellpadding="5" border="0" width="100%">
							<tbody><tr>
								<td width="100%" valign="top" colspan="2">
								<table cellspacing="0" cellpadding="0" border="0" align="center" width="100%">
									<tbody><tr>
										<td class="chequenotes"><b>TO PROCEED WITH PAYMENT
										PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT
										GATEWAY</b></td>
									</tr>
								</tbody></table>
								</td>
							</tr>
							<tr>
								<td align="right" width="16%" valign="top">NAME<span class="mandatory">*</span></td>
								<td width="84%" valign="top" colspan="3"><input type="text" onkeypress="return onlyAlpha_forName(this,event);" size="15" maxlength="30" id="txt_CreditCardName" class="text_field" name="txt_CreditCardName"></td>
							</tr>
							<tr>
								<td align="right" valign="top">AMOUNT (RS)</td>
								<td valign="top" colspan="3"> <input type="text" value="1750" readonly="true" size="15" id="txt_Card_Amount" class="text_field" name="txt_Card_Amount">
								</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
						   
						   <tr>
								<td colspan="2">
								<div class="notepatch2">
								<table cellspacing="0" cellpadding="0" border="0">
							<tbody><tr>
								<td align="center" width="36" valign="top" class="note">Note</td>
								<td width="780" valign="top"><span class="hinttext">Please
								quote your Transaction ID for any queries relating to this
								request.</span></td>
							</tr>
								</tbody></table>
								</div>
								</td>
							</tr>
								
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
												
						</td>
					</tr>
					<tr>
						<td>
						<div id="choose_electronic" class="hide">
						<table cellspacing="0" cellpadding="0" border="0" width="100%">
							<tbody><tr>
								<td class="sectionheading">Electronic Transfer From Bank to
								Bank</td>
							</tr>
						</tbody></table>
						<table cellspacing="0" cellpadding="5" border="0" width="100%">
							<tbody><tr>
								<td valign="top" colspan="4">
								<table cellspacing="0" cellpadding="0" border="0" align="center" width="99%">
									<tbody><tr>
										<td class="chequenotes"><b>TO PROCEED WITH PAYMENT
										PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT
										GATEWAY</b></td>
									</tr>
								</tbody></table>
								</td>
							</tr>
							<tr>
								<td align="right" width="16%" valign="top">NAME<span class="mandatory">*</span></td>
								<td width="84%" valign="top" colspan="3"><input type="text" onkeypress="return onlyAlpha_forName(this,event);" size="15" maxlength="30" id="txt_CreditCardName" class="text_field" name="txt_CreditCardName"></td>
							</tr>
							<tr>
								<td align="right" valign="top">AMOUNT (RS)</td>
								<td valign="top" colspan="3"><input type="text" value="1750" readonly="true" size="15" id="txt_EAmount" class="text_field" name="txt_EAmount"></td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
							<tr>
								<td>
								<div class="notepatch2">
								<table cellspacing="0" cellpadding="0" border="0">
									<tbody><tr>
										<td align="center" width="36" valign="top" class="note">Note</td>
										<td width="780" valign="top"><span class="hinttext">Please
										quote your Transaction ID for any queries relating to this
										request.</span></td>
									</tr>
								</tbody></table>
								</div>
								</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
						</tbody></table>
					</div>
					</td>
					</tr>
					<tr>
						<td width="100%">
						<div id="choose_cashBIMTech" class="hide">
						<table cellspacing="0" cellpadding="5" border="0" width="100%">
							<tbody><tr>
								<td valign="top" colspan="4">
								<table cellspacing="0" cellpadding="0" border="0" width="100%">
									<tbody><tr>
										<td class="sectionheading">Cash payment at BIMTech</td>
									</tr>
								</tbody></table>
								</td>
							</tr>
							<tr width="100%">
								<td width="100%">
								<div class="notepatch2">
								<table cellspacing="0" cellpadding="0" border="0" width="100%">
									<tbody><tr>
										<td align="center" width="36" valign="top" class="note">Note</td>
										<td width="780" valign="top"><span class="hinttext">The
										candidate has payed the fees at the Saviance, he/she
										will be provided with a scratch card and broucher.<br>
										Please enter the scratch card 16 digit pin number in the below given box.</span></td>
									</tr>
								</tbody></table>
								</div>
								</td>
							</tr>
							<tr>
								<td align="left" width="100%" valign="top">Scratch Card PIN
								no.(16 digits)<span class="mandatory">*</span>
								<input type="text" onkeypress="return onlyAlphaNumeric(this,event);" size="16" maxlength="16" id="txt_PIN_NO_CashOther" class="text_field_name" name="txt_PIN_NO_CashOther">
								</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
							<tr>
								<td align="right" valign="top">&nbsp;</td>
								<td valign="top" colspan="3">&nbsp;</td>
							</tr>
						</tbody></table>
						</div>
						</td>
					</tr>
				</tbody></table>
				</td>
			</tr>
			<tr>
				<td height="5"></td>
			</tr>
		</tbody></table>
		
		

		<script>
			// setTimeout("update()", 1000);
		</script>
		

		<table cellspacing="1" cellpadding="5" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">How did you come to know about Saviance?</td>
			</tr>
			</tbody></table>
			<div class="bluebgpatch_payment">
<table cellspacing="1" cellpadding="1" border="0">
	<tbody>		
				
					<tr>
						<td><strong>1.News Paper advertisement</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="newspaper_R" id="newspaper_R" value="Y" checked="checked" onclick="fnNewsAdd(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="newspaper_R" id="newspaper_R" value="N" onclick="fnNewsAdd(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						
						<td id="txt_newspaper_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_newspaper" value="" id="txt_newspaper" maxlength="350"><span id="man_news" class="mandatory">*</span></td>
							
						
					</tr>
				
			
				
					<tr>
						<td><strong>2.Electronic banner on Online Portal</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="banner_R" id="banner_R" value="Y" checked="checked" onclick="fnBanner(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="banner_R" id="banner_R" value="N" onclick="fnBanner(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_banner_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_banner" value="" id="txt_banner" maxlength="350"><span id="man_banner" class="mandatory">*</span></td>
							
						
					</tr>
				
			
			
					<tr>
						<td><strong>3.CAT Coaching Institute</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="cat_R" id="cat_R" value="Y" checked="checked" onclick="fnCat(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="cat_R" id="cat_R" value="N" onclick="fnCat(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_cat_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_cat" value="" id="txt_cat" maxlength="350"><span id="man_cat" class="mandatory">*</span></td>
							
						
					</tr>
			
			
					<tr>
						<td><strong>4.Recommendation by existing Student</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="student_R" id="student_R" value="Y" checked="checked" onclick="fnStudent(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="student_R" id="student_R" value="N" onclick="fnStudent(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_student_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_student" value="" id="txt_student" maxlength="350"><span id="man_student" class="mandatory">*</span></td>
							
						
					</tr>
				
			
					<tr>
						<td><strong>5.Recommendation by Institute's Alumni</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="alumni_R" id="alumni_R" value="Y" checked="checked" onclick="fnAlumni(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="alumni_R" id="alumni_R" value="N" onclick="fnAlumni(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_alumni_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_alumni" value="" id="txt_alumni" maxlength="350"><span id="man_alumni" class="mandatory">*</span></td>
							
						
					</tr>
			
					<tr>
						<td><strong>6.Commercial on Television</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="Tv_R" id="Tv_R" value="Y" checked="checked" onclick="fnTV(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="Tv_R" id="Tv_R" value="N" onclick="fnTV(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_Tv_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_Tv" value="" id="txt_Tv" maxlength="350"><span id="man_Tv" class="mandatory">*</span></td>
							
						
					</tr>
			
			
					<tr>
						<td><strong>7.Read about Saviance in the magazine</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="magazine_R" id="magazine_R" value="Y" checked="checked" onclick="fnMagazine(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="magazine_R" id="magazine_R" value="N" onclick="fnMagazine(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_magazine_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_magazine" value="" id="txt_magazine" maxlength="350"><span id="man_magzine" class="mandatory">*</span></td>
							
						
					</tr>
			
			
					<tr>
						<td><strong>8.Any other source</strong></td>
						<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
						<td><input type="radio" name="others_R" id="others_R" value="Y" checked="checked" onclick="fnOthers(this)"><strong>Yes</strong>&nbsp;</td>
						<td><input type="radio" name="others_R" id="others_R" value="N" onclick="fnOthers(this)"><strong>No</strong>&nbsp;</td>
						<td width="20">&nbsp;</td>	
						<td>&nbsp;</td>
						<td id="txt_others_div">If Yes,Please specify&nbsp;&nbsp;&nbsp;<input type="text" name="txt_others" value="" id="txt_others" maxlength="350"><span id="man_others" class="mandatory">*</span></td>
							
						
					</tr>
				
				
			</tbody></table>
			</div>
			<br>
			
		

		<table cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td class="sectionheading">Declaration by Candidate</td>
			</tr>
		</tbody></table>
		<br>
		<table cellspacing="0" cellpadding="0" border="0" width="100%">

			<tbody><tr>
				<td align="right" width="5%">&nbsp;</td>
				<td width="86%" class="text1">
				<p class="text3">I Certify that I (a) satisfy the eligibility
				requirements of the programme(s)I have applied for and (b)have
				furnished complete and correct information.I also certify that
				photograph uploaded/pasted on this form is the latest and i also
				agree to abide by Saviance decisions on all matters regarding this
				application. In case of any discrepancy Saviance has full right to
				cancel my candidature.I undertake to produce the final graduation 
				degree and mark sheets latest by 31st October 2011,Falling which Saviance 
				will be free to cancel my admission.</p>
				</td>
				<td align="right" width="9%">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">&nbsp;</td>
				<td align="right" class="text1"><input type="checkbox" value="" id="acceptanceCHK" name="acceptanceCHK"> <strong>I
				Agree.</strong></td>
				<td align="right">&nbsp;</td>
			</tr>
		</tbody></table>
		<br>
		<table>
			<tbody><tr>
				<td>
				 <div class="notepatch2">
					<table cellspacing="0" cellpadding="0" border="0">
						<tbody><tr>
							<td align="center" width="36" valign="top" class="note">Note</td>
							<td width="780" valign="top"><span class="hinttext">YOU  ARE ADVISED TO   
							CHECK YOUR APPLICATION RECORD USING USER_ID AND PASSWORD RECEIVED ON YOUR EMAIL 
							AFTER SUBMITTING ONLINE FORM TO CROSSCHECK IF YOUR APPLICATION IS SUCCESSFUL WITH 
							ALL DETAILS ENTERED BY YOU. <br>(Any errors may be immediately reported to Admission 
							Counsellor over email .)
							</span></td>
						</tr>
					</tbody></table>
				</div>
			   </td>
			</tr>
		</tbody></table>
		<br>

		<div id="submitPlace">
		<table height="40" cellspacing="0" cellpadding="0" border="0" width="100%">
			<tbody><tr>
				<td width="34%">&nbsp;</td>
				<td width="47%">&nbsp;</td>
				<td width="20%">
				<input type="button" style="border: medium none ; background: transparent url(images/onlineAppForm/submit.gif) no-repeat scroll 0% 0%; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous; height: 28px; width: 75px;" onclick="" id="" class="nexttabbutton" value="">
				<!-- 
				<a class="register_button" href="#"
					id="" onclick="javascript:doValidate();"></a>
				-->	
				</td>
			</tr>
		</tbody></table>
		</div>
		
	</div>
<br>
</div>	
		





<input type="hidden" value="" id="txtPhotopath_hidden" name="txtPhotopath_hidden">
<input type="hidden" id="txtAppName" value="" name="txtAppName">
<input type="hidden" id="upload_now" value="" name="upload_now">
<input type="hidden" id="txt_Amount" value="" name="txt_Amount">
<input type="hidden" id="dob_check" value="" name="dob_check">
<input type="hidden" id="payment_mode" value="" name="payment_mode">
<input type="hidden" value="" id="txtAppSex" name="txtAppSex">

<input type="hidden" value="" id="txtAppCategory" name="txtAppCategory">
<input type="hidden" value="" id="upload_now" name="upload_now">
<input type="hidden" value="" id="BD_result_status" name="BD_result_status">
<input type="hidden" value="" id="profCourseType" name="profCourseType">
<input type="hidden" value="" id="isAppearCAT" name="isAppearCAT">
<input type="hidden" value="" id="resultAvailCAT" name="resultAvailCAT">
<input type="hidden" value="" id="isAppearMAT" name="isAppearMAT">
<input type="hidden" value="" id="resultAvailMAT" name="resultAvailMAT">
<input type="hidden" value="" id="payment2" name="payment2">
<input type="hidden" value="" id="txtHSCPer" name="txtHSCPer">
<input type="hidden" value="" id="txtSSCPer" name="txtSSCPer">
<input type="hidden" value="" id="txtBDPercent" name="txtBDPercent">
<input type="hidden" value="" id="txtCATPercent" name="txtCATPercent">
<input type="hidden" value="" id="txtProfCoursePercent" name="txtProfCoursePercent">
<input type="hidden" value="" id="txtMATPercent" name="txtMATPercent">
<input type="hidden" value="" id="billing_cust_name" name="billing_cust_name">
<input type="hidden" value="" id="newspaper" name="newspaper">
<input type="hidden" value="" id="banner" name="banner">
<input type="hidden" value="" id="cat" name="cat">
<input type="hidden" value="" id="student" name="student">
<input type="hidden" value="" id="alumni" name="alumni">
<input type="hidden" value="" id="Tv" name="Tv">
<input type="hidden" value="" id="magazine" name="magazine">
<input type="hidden" value="" id="others" name="others">
<input type="hidden" value="" id="txtScholarship" name="txtScholarship">


									<div id="uploadfile"></div>
	
								
								
								<div class="butonhldr" id="submitButton"></div>
							</td>
						</tr>
					</tbody></table>
					
					<input type="hidden" id="subAction" value="fetchForm" name="subAction">
					<input type="hidden" id="orgId" value="125" name="orgId">
					<input type="hidden" id="formId" value="17" name="formId">
					
					<input type="hidden" id="formHtmlPath" value="/html/form17/application.html" name="formHtmlPath">
					<input type="hidden" id="onloadMethod" value="document.forms[0].reset();fnRetrieveMasterData();" name="onloadMethod">
					<input type="hidden" id="validationClassName" value="com.tcs.validation.SavianceValidation" name="validationClassName">
					<input type="hidden" id="redirectURL" value="http://10.11.48.20:80/EForms" name="redirectURL">
					<input type="hidden" id="mailFromId" value="admission.queries@Saviance.ac.in" name="mailFromId">
					<input type="hidden" id="mailSubject" value="Saviance ADMISSION  LOGIN DETAILS" name="mailSubject">
					<input type="hidden" id="mailContent" value="&lt;html&gt;&lt;head&gt;&lt;meta http-equiv=&quot;Content-Type&quot; content=&quot;text/html; charset=ISO-8859-1&quot;&gt;&lt;title&gt;&lt;/title&gt;&lt;style  type=&quot;text/css&quot;&gt;.header  {height:50px;line-height:50px;text-align:center;font-size:25px;font-weight:bold;}tainer{margin-top:60px;padding:0px 7px;} .applicationhead{background-color:#c2e3f4; border:1px solid #b9cad4; height:40px; line-height:40px; text-align:center;  font-size:19px; font-weight:bold; color:#1b3f5f; margin-bottom:20px;}.sectionheading{border-bottom:1px solid #b8cedb;  height:30px; line-height:30px; color:#183f5c; font-size:16px; font-weight:bold;}.clear  {clear:both;height:0px;line-height:0px;font-size:0px;}.notes {font-size:15px;color:#FC1618;}.backG { width:880px;margin:20px auto;background:#fff;}&lt;/style&gt;&lt;/head&gt;&lt;body&gt;&lt;div background=&quot;blue&quot;&gt;&lt;div class=&quot;applicationhead&quot;&gt;Saviance  Admission 2011&lt;/div&gt; &lt;div class=&quot;container&quot;&gt;&lt;div&gt;&lt;table width=&quot;100%&quot; border=&quot;0&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot;&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot;&gt;&lt;div&gt;&lt;div&gt; &lt;table width=&quot;100%&quot; border=&quot;0&quot; cellspacing=&quot;0&quot; cellpadding=&quot;0&quot;&gt;&lt;tr&gt;&lt;td class=&quot;sectionheading&quot;&gt;Dear @@username@@,&lt;br&gt;Subject:  @@subject@@&lt;br&gt;&lt;br&gt;Your Saviance login details are given below, please keep it secret:&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;div class=&quot;notes&quot;  align=&quot;center&quot;&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt; &lt;td&gt;&lt;table width=&quot;100%&quot; border=&quot;0&quot; cellspacing=&quot;0&quot; cellpadding=&quot;5&quot;&gt;&lt;tr&gt;&lt;td   colspan=&quot;3&quot;&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td width=&quot;4%&quot;  &gt;&amp;nbsp;&lt;/td&gt;&lt;td width=&quot;96%&quot;  align=&quot;left&quot; valign=&quot;top&quot;&gt;&lt;div class=&quot;notes&quot; align=&quot;left&quot;&gt;&lt;strong&gt;Application Sequence  Number/User Id: @@AppSeqNo@@&lt;/strong&gt; &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td width=&quot;4%&quot; &gt;&amp;nbsp;&lt;/td&gt;&lt;td width=&quot;96%&quot;  align=&quot;left&quot; valign=&quot;top&quot;&gt;&lt;div class=&quot;notes&quot;  align=&quot;left&quot;&gt;&lt;strong&gt;Password: @@Pass@@&lt;/strong&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td height=50&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=2&gt;Please click on  the below link to view the application details : &lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=2&gt;&lt;a  href=&quot;http://hyd.tcs-itontap.com/EForms/loginAction.do?subAction=ViewLoginPage&amp;orgId=125&amp;formId=17&quot;&gt;Click Here to login&lt;/a&gt;&lt;/td&gt;&lt;/tr&gt; &lt;tr&gt;&lt;td colspan=2&gt;Please revisit our website &lt;a href=&quot;http://Saviance.ac.in/&quot; &gt;http://Saviance.ac.in&lt;/a&gt; for further enqueries.&lt;/td&gt;&lt;/tr&gt; &lt;/table&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;/div&gt;&lt;/tr&gt;&lt;/table&gt;&lt;/div&gt;&lt;div class=&quot;clear&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;br&gt;&lt;br&gt;&lt;br&gt;&lt;div  class=&quot;sectionheading&quot;&gt;&lt;div&gt; &lt;div align=center&gt;This is system generated mail, please do not reply to it. &lt;/div&gt;&lt;/div&gt;&lt;/body&gt;&lt;/html&gt;" name="mailContent">
					<input type="hidden" id="preSubmitValidation" value="PreSubmitValidation17?" name="preSubmitValidation">
					<input type="hidden" id="jsFile" value="js/onlineAppForm/form17.js" name="jsFile">
					<input type="hidden" id="successHtmlPath" value="/html/form17/success.html" name="successHtmlPath">
					<input type="hidden" id="pgatewayIntegrator" value="com.tcs.integrator.PGintegrator12" name="pgatewayIntegrator">
					<input type="hidden" id="appSeqNo" value="" name="appSeqNo">
					<input type="hidden" id="txtPhotopath" value="" name="txtPhotopath">
				    <input type="hidden" id="txtSignaturepath" value="" name="txtSignaturepath">
					<input type="hidden" id="txtThumbpath" value="" name="txtThumbpath">
					<input type="hidden" id="txtParentSignpath" value="" name="txtParentSignpath">
					<input type="hidden" id="forwardToProfile" value="Y" name="forwardToProfile">
                    <input type="hidden" id="entityId" value="" name="entityId"> 
                    <input type="hidden" id="masterDataXML" value="" name="masterDataXML">
		
					<input type="hidden" id="proxyRequired" name="proxyRequired">
					<input type="hidden" id="proxyUser" name="proxyUser">
					<input type="hidden" id="proxyPassword" name="proxyPassword">
					<input type="hidden" value="N" id="isRedirect" name="isRedirect">
					
					<input type="hidden" value="125" id="OID" name="OID">
					<input type="hidden" value="17" id="FID" name="FID">
					
					<input type="hidden" value="com.tcs.validation.SavianceValidation" id="vClassName" name="vClassName">
					<input type="hidden" value="ajaxValidationForEntity1()" id="ajaxMethod" name="ajaxMethod">
					<input type="hidden" value="N" id="isAdminEdit" name="isAdminEdit">
					<input type="hidden" id="screenName" name="screenName" value="Create_Application">
					<script>
						document.onlineAppForm.orgId.value='125';
						document.onlineAppForm.formId.value='17';
						document.onlineAppForm.jsFile.value='js/onlineAppForm/form17.js';
						document.onlineAppForm.successHtmlPath.value='/html/form17/success.html';
							
						//document.getElementById("OID").value = '&lt;//%=orgId%&gt;';
						//document.getElementById("FID").value = '&lt;//%=formId%&gt;';
						//document.getElementById("vClassName").value = '&lt;//%=validationClassName%&gt;';
						//document.getElementById("ajaxMethod").value = '&lt;//%=ajaxValMethod%&gt;'
					</script>
					<br>
							
					
		
	<script language="javascript">
function viewDetails(){
    // document.forms[0].screenName.value = 'Create_Application';  
    document.getElementById('screenName').value =  'Create_Application';   
}
</script></div>
       </div>
       <!-- end three column -->
     </div>
   </div>
   
   <!-- content end -->
	 <!-- footer start -->
	 <?php require_once "footer.inc.php"?>
 <!-- footer end -->
</div>
</body></html>